Lewandowski Robert J, Sato Kent T, Atassi Bassel, Ryu Robert K, Nemcek Albert A, Kulik Laura, Geschwind Jean-Francois, Murthy Ravi, Rilling William, Liu David, Bester Lourens, Bilbao Jose Ignacio, Kennedy Andrew S, Omary Reed A, Salem Riad
Department of Radiology, Section of Interventional Radiology, Northwestern Memorial Hospital, Robert H. Lurie Comprehensive Cancer Center, Chicago, IL, USA.
Cardiovasc Intervent Radiol. 2007 Jul-Aug;30(4):571-92. doi: 10.1007/s00270-007-9064-z. Epub 2007 May 22.
The anatomy of the mesenteric system and the hepatic arterial bed has been demonstrated to have a high degree of variation. This is important when considering pre-surgical planning, catheterization, and trans-arterial hepatic therapies. Although anatomical variants have been well described, the characterization and understanding of regional hepatic perfusion in the context of radioembolization have not been studied with great depth. The purpose of this review is to provide a thorough discussion and detailed presentation of the angiographic and technical aspects of radioembolization. Normal vascular anatomy, commonly encountered variants, and factors involved in changes to regional perfusion in the presence of liver tumors are discussed. Furthermore, the principles described here apply to all liver-directed transarterial therapies.
肠系膜系统和肝动脉床的解剖结构已被证明具有高度变异性。这在考虑术前规划、导管插入术和经动脉肝治疗时很重要。尽管解剖变异已得到充分描述，但在放射性栓塞背景下对区域肝灌注的特征和理解尚未得到深入研究。本综述的目的是对放射性栓塞的血管造影和技术方面进行全面讨论并详细介绍。讨论了正常血管解剖、常见变异以及存在肝肿瘤时区域灌注变化所涉及的因素。此外，这里描述的原则适用于所有肝靶向经动脉治疗。
